Provider Demographics
NPI:1417387879
Name:DUEWEKE, CHRISTIE (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:DUEWEKE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:368 KILLARNEY BEACH RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-1185
Mailing Address - Country:US
Mailing Address - Phone:989-233-2620
Mailing Address - Fax:
Practice Address - Street 1:368 KILLARNEY BEACH RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-1185
Practice Address - Country:US
Practice Address - Phone:989-233-2620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010911501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical